Lord Willis of Knaresborough Chairman Willis Commission 2012

1. We are all in this together: the future of nursing education Lord Willis of Knaresborough Chairman Willis Commission 2012

3. UK Context • Austerity (for some people) • Huge spending cuts in health and education • Major health service restructuring • Competition & commissioning • Aging population • Relentless headlines about NHS/nursing ‘crisis’

4. What essential features of pre-registration nursing education in the UK, and what types of support for newly registered practitioners, are needed to create and maintain a workforce of competent, compassionate nurses fit to deliver future health and social care services?’

5. Commission Panel Lord Willis of Knaresborough Sheila Dilks, Executive Director of Transformation, West Cheshire Clinical Commissioning Group Jill Evans, Senior Education and Development Manager, Aneurin Bevan Health Board Dr Glynis Henry, Chief Executive, Northern Ireland Practice and Education Council for Nursing and Midwifery Sharon Northeast, Patient Voices Representative Dr Subo Shanmuganathan, Head of Learning and development, Macmillan Cancer Support Professor Margaret Smith, Dean, School of Nursing and Midwifery, University of Dundee Veronica Snow, Lead Professional, South West Wales Cancer Network

6. Expert advisers James Buchan, Professor, School of Health, Queen Margaret University,Edinburgh Baroness Cumberlegeof Newick Baroness Emertonof Tunbridge Wells Celia Davies, Professor Emerita, The Open University Fiona Ross, Dean of Faculty of Health and Social Care Sciences, Kingston University and St George’s, University of London

7. Collecting the Evidence 80 organisationssubmitted written evidence 23 expertswere invited to give oral evidence. All parts of the UK were visited Recent literaturereviewed – Briggs Report from 1972! 29 recommendations were made– Report unanimous view of Panel and reviewers

9. Key Conclusion • "It is important to say that the commission found no major shortcomings in nursing education that could be held directly responsible for poor practice or the perceived decline in standards of care"

10. “Patient centred care should be the golden thread that runs through all pre-registration nursing education and continuing professional development”

11. Graduate Programmes?

12. "we found no evidence that there is somehow a conflict between intellect and compassion" "If nurses are to lead a patient centred healthcare system we need to attract the most compassionate as well as the brightest – these qualities are not alternatives nor are they mutually exclusive.

13. Recruiting Nursing Students? ? ?

14. Recruiting Nursing Students? "perception that universities 'take the easy' option of recruiting on academic qualifications rather than caring qualities is very real." "Universities must recognised the value of recruiting potential nurses from diverse entry points and career pathways including health care assistants, school leavers, mature adults and graduates from other professions."

15. What to expect from a 'graduate' nurse?

16. What to expect from a 'graduate' nurse? “We need nurses to be critical thinkers, to challenge poor practice, to observe and seek to improve and to be leaders of clinical and non clinical teams.”Francis Report

17. Improving teaching and research • "national clinical-academic career structure.... • “ joint university healthcare roles for clinical academics.... • “persuade VC’s that nursing faculties must be given resources to carry out research” • “If nursing research is fundamental to improving care and patient outcomes and it must be given greater priority”

18. Florence Nightingale wrote in 1872 to a student nurse at St Thomas’s: "For us who nurse our nursing is a thing, which, unless we are making progress in it, every year, every month, every week, take my word for it, we are going back." "For us who nurse our nursing is a thing, which, unless we are making progress in it, every year, every month, every week, take my word for it, we are going back.“ Florence Nightingale wrote in 1872 to a student nurse at St Thomas’s

19. LEARNING TO NURSE “Managers, mentors, practice education facilitators, and academic staff must work together to help students relate theory to practice.”.

20. LEARNING TO NURSE “Employers and universities must together identify positive practice environments in a wide range of settings.”. “The absence of funding to HEIs to support nursing students’ practical learning experiences must be addressed” “Employers must ensure mentors have dedicated time for mentorship, while universities should play their full part in training and updating mentors.” “Mentors must be selected for their knowledge, skills and motivation; adequately prepared; well supported; and valued, with a recognised status”

21. Health Care Support Workers The Commission recommended – mandatory standards, training, regulation and registration of all HCW’s who directly deliver patient care Francis Report recommended - “A registration system should be created under which no unregistered person should be permitted to provide for reward direct physical care to patients currently under the care and treatment of a registered nurse or registered doctor...” ( Francis Report Rec 209)

22. We are all in this together!?